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Additional perioperative measures to reduce the susceptibility of the spinal cord to ischemic insult include hypothermia, steroids, and naloxone infusion. Most cases manifest immediately or within days of surgery and improve with the aforementioned maneuvers. We describe a rare occurrence of delayed SCI 20 months after thoracic endovascular aortic aneurysm repair.<\/jats:p>","DOI":"10.1055\/a-2524-4880","type":"journal-article","created":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:02:43Z","timestamp":1740787363000},"page":"094-097","source":"Crossref","is-referenced-by-count":1,"title":["Delayed Paraplegia after Complex Repair of Thoracic Aortic Dissection"],"prefix":"10.1055","volume":"12","author":[{"given":"Daniel","family":"Nguyen","sequence":"additional","affiliation":[{"name":"The University of Arizona Section of Vascular Surgery, Tucson, Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5236-7646","authenticated-orcid":false,"given":"Scott S.","family":"Berman","sequence":"additional","affiliation":[{"name":"The University of Arizona Section of Vascular Surgery, Tucson, Arizona"},{"name":"Southern Arizona Vascular Institute, Tucson, Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis R.","family":"Leon","sequence":"additional","affiliation":[{"name":"The University of Arizona Section of Vascular Surgery, Tucson, Arizona"},{"name":"Southern Arizona Vascular Institute, Tucson, Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,2,28]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s00276-010-0654-0","article-title":"Relevance of the anatomical location of the Adamkiewicz artery in spine surgery","volume":"33","author":"Y P Charles","year":"2011","journal-title":"Surg Radiol Anat"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"562","DOI":"10.3400\/avd.cr.18-00090","article-title":"Delayed paraplegia triggered by gastrointestinal bleeding 8 months after TEVAR: persistent vulnerability of spinal cord","volume":"11","author":"T 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